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PROVIDER PROFILE · NPI 1396708566

James BerginMD

PRACTICESALEM CLINIC PHARMACY INCSee all providers at this practice →
General SurgerySalem, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
74.0
Quality
62.4
Cost
71.3
Improvement activities
40.0
Promoting interop.
69.0
Payment adjustment
-0.12%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
622
Beneficiaries
—
Total drug cost
$29K
Distinct drugs
9
Brand share
40.0%
Top prescribed drugs
Famotidine160 claims
Sodium, Potassium,mag Sulfates138 claims
Omeprazole117 claims
Hydrocodone/Acetaminophen52 claims
Sod Sulf/Pot Chloride/Mag Sulf44 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$38
Payment records
2
By payment type
Food and Beverage$38
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
436
Unique beneficiaries
—
Total services
503
Distinct HCPCS
8
Medicare payment
$31K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 331 General Surgery providers in KY — top quintile (cohort median 337).
REFERRAL NETWORK

Where James Bergin's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 19 inbound referrers · 30 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
RUSSELL COUNTY HOSPITAL2161,722
Richard Lozano
Pathology · Lexington, KY
54132
BERTRAM, ROBERT36248
Jerry Lawson
Family Practice · Jamestown, KY
35253
Joseph Payne
Diagnostic Radiology · Charlotte, NC
3495
Richard Perkins
Internal Medicine · London, KY
33136
Kimberly Meyer
Nurse Practitioner · Somerset, KY
31150
RUSSELL COUNTY HOSPITAL29108
ADAIR COUNTY HOSPITAL DISTRICT2578
Pamela Jensen-Stanley
Podiatry · Somerset, KY
2184
Stephanie Jones
Family Practice · Jamestown, KY
21105
P & C Labs, Llc
Clinical Laboratory · Lexington, KY
1728
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
RUSSELL COUNTY HOSPITAL173869
WESTERFIELD, JERRY84303
Richard Lozano
Pathology · Lexington, KY
51118
RUSSELL COUNTY HOSPITAL33107
Jerry Lawson
Family Practice · Jamestown, KY
31186
Kimberly Meyer
Nurse Practitioner · Somerset, KY
29160
RUSSELL COUNTY HOSPITAL28108
Russell Co Ambulance Service
Ambulance Service Provider · Jamestown, KY
25101
CUMBERLAND FAMILY MEDICAL CENTER, INC2471
BERTRAM, ROBERT23113
Richard Perkins
Internal Medicine · London, KY
2284
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED2098
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.